CardioByte

Infografías en Cardiología y Cardiología Intervencionista

[CardiovascularCorner @TrackYourHeart]

Coronary Artery Dominance: A Key Concept in Angiography

Dominance is defined by which artery gives rise to the posterior descending artery (PDA):
• Right dominance – PDA from RCA
• Left dominance – PDA from LCx
• Balanced – PDA from both RCA & LCx

Prevalence:
• Right dominant – ~85%
• Left dominant – ~8%
• Balanced – ~7%

Understanding dominance is crucial in assessing myocardial perfusion, planning revascularization, and anticipating outcomes in coronary artery disease.

Image:
Top – Right dominance
Middle – Left dominance
Bottom – Balanced dominance
(Courtesy Dr. Annapoorna Kini, Mount Sinai, NY)

Ref: Braunwald’s Heart Disease, 12th Ed.

[JACC Journals @JACCJournals]

74M with #diabetes, #CKD, prior CABG referred for LAD #PCI; severe bilateral femoral disease and left radial artery occlusion left the right radial as the only viable access. https://t.co/FHVU6citCP #JACCCaseReports

[Alexander Mladenow MD @alex1708ander]

Coronary artery territories in TTE #echofirst

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Getting ready for #ACC26? So are we!

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Road to @CtoEuro Club
#cto with side branch
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[Medical Info @Medicalinfo111]

STEMI perfusion flowchart

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A simple spinning device saving lives

[Michael Savage @DocSavageTJU]

Minimal Contrast PCI in pt w GFR=18. How I do it: 1. Single roadmap angio; 2. Wire w/o contrast; 3. IVUS to plan➡️4. Direct stent; 5. NC🎈18atm; 6. reIVUS ✔️result; 7. 2nd&final angio. Contrast<15cc. #CardioTwitter @SandeepNathanMD @djc795 @rajivxgulati @mmamas1973 @SVRaoMD

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#Bifurcation, #ProvisionalStent, #ComplexPCI